EMPLOYEE REVIEW & DEVELOPMENT SUMMARY Employee
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EMPLOYEE REVIEW & DEVELOPMENT SUMMARY Employee Name: _____________________ Supervisor Name: ______________________ Department: _______________________ Date of Review: __/__/__ Review Period: __/__/__ to __/__/__ Job Description Review 1. 2. Have there been significant changes to the job during this last year? Have you checked the job description and revised it as necessary? ___ Yes ___ No ___ Yes ___ No Please attach a copy of the job description for the HR office files for use in conjunction with FMLA and Worker’s compensation claims. Employee Annual Plan Review – Previous Year (If Applicable) Goals from Last Year Objective: Completion __ Yes Measure: __ No Objective: __ Yes Measure: __ No Objective: __ Yes Measure __ No Employee Work Performance – Complete For All Positions Exceeds Meets Expectations Expectations Time management: Self-Assessment Supervisor Assessment Problem solving: Self-Assessment Supervisor Assessment Innovation: Self-Assessment Supervisor Assessment Willingness to improve: Self-Assessment Supervisor Assessment Dealing with ambiguity: Self-Assessment Supervisor Assessment Initiative: Self-Assessment Supervisor Assessment Quantity of work: Self-Assessment Supervisor Assessment Quality of work: Self-Assessment Supervisor Assessment Impact on constituents: (Students / Parents / Alumni / Others) Self-Assessment Supervisor Assessment Attendance: Self-Assessment Supervisor Assessment Below Expectations N/A _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ 2014-12-22 EMPLOYEE REVIEW & DEVELOPMENT SUMMARY Employee Name: _____________________ Supervisor Name: ______________________ Department: _______________________ Date of Review: __/__/__ Review Period: __/__/__ to __/__/__ Employee Work Performance – Department Specific Questions (Feel free to adjust as needed) Exceeds Meets Expectations Expectations Use of University resources: Self-Assessment _____ Supervisor Assessment _____ Technical proficiency: Self-Assessment _____ Supervisor Assessment _____ Creativity: Self-Assessment _____ Supervisor Assessment _____ Feel free to add department specific items to this section: __________________ Self-Assessment _____ Supervisor Assessment _____ __________________ Self-Assessment _____ Supervisor Assessment _____ __________________ Self-Assessment _____ Supervisor Assessment _____ Below Expectations N/A _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Employee Team Performance – All Jobs Exceeds Meets Expectations Expectations Communication: Self-Assessment _____ Supervisor Assessment _____ Conflict resolution: Self-Assessment _____ Supervisor Assessment _____ Contribution to the team: Self-Assessment _____ Supervisor Assessment _____ Feel free to add department specific items to this section: __________________ Self-Assessment _____ Supervisor Assessment _____ __________________ Self-Assessment _____ Supervisor Assessment _____ Below Expectations N/A _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Below Expectations N/A _____ _____ _____ _____ _____ _____ _____ _____ Employee Support of the University Exceeds Meets Expectations Expectations Alignment to the LTC: Self-Assessment Supervisor Assessment Supportive of the LTC: Self-Assessment Supervisor Assessment _____ _____ _____ _____ _____ _____ _____ _____ 2014-12-22 EMPLOYEE REVIEW & DEVELOPMENT SUMMARY Employee Name: _____________________ Supervisor Name: ______________________ Department: _______________________ Date of Review: __/__/__ Review Period: __/__/__ to __/__/__ Supervisor / Direct Manager Assessment Regularly I receive regular feedback on my performance: Employee Assessment Supervisor Assessment My manager communicates effectively with me: Employee Assessment Supervisor Assessment My manager is willing to listen to my concerns: Employee Assessment Supervisor Assessment My manager gives clear direction: Employee Assessment Supervisor Assessment My manager supports my work: Employee Assessment Supervisor Assessment Could Use More N/A ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ Additional Feedback to my Supervisor Com 2014-12-22 EMPLOYEE REVIEW & DEVELOPMENT SUMMARY Employee Name: _____________________ Supervisor Name: ______________________ Department: _______________________ Date of Review: __/__/__ Review Period: __/__/__ to __/__/__ Overall Summary Professional Development / Training Plan Performance Summary & Additional Comments: Overall Summary of Performance: Additional Employee’s Comments: Annual Plan Goals Objective: Measure: Objective: Measure: Objective: Measure Signatures The employee, supervisor, and a member of the Human Resources Team are all required to sign the evaluation. Signature Date Supervisor Employee Human Resources (See notes below) Human Resources assesses all performance review forms and notes any issues that may need follow up or additional review with the supervisor, employee, or others in the organization to in order to improve overall job satisfaction and communication between all parties. 2014-12-22
